Ten-year trends in fiber and whole grain intakes and food sources for the United States population: National Health and Nutrition Examination Survey 2001-2010

Carla R McGill, Victor L Fulgoni 3rd, Latha Devareddy, Carla R McGill, Victor L Fulgoni 3rd, Latha Devareddy

Abstract

Current U.S. dietary guidance includes recommendations to increase intakes of both dietary fiber and whole grain (WG). This study examines fiber and WG intakes, food sources and trends from 2001 to 2010 based on National Health and Nutrition Examination Survey (NHANES) data for children/adolescents (n=14,973) and adults (n=24,809). Mean fiber intake for children/adolescents was 13.2 (±0.1) g/day. Mean fiber intake for adults 19-50 years (y) was 16.1 (±0.2) g/day and for adults 51+ was 16.1 (±0.2) g/day. There were significant increases in fiber intake from 2001-2010 for children/adolescents and for adults 51+y. Mean WG intake for children/adolescents was 0.52 (±0.01) oz eq/day. Mean WG intake for adults 19-50 y was 0.61 (±0.02) oz eq/day and for adults 51+0.86 (±0.02) oz eq/day. There were no significant changes in WG intake for any age group from 2001-2010. The main food groups contributing to dietary fiber intake for children/adolescents were vegetables (16.6%), grain mixtures (16.3%), other foods (15.8%) and fruits (11.3%). For adults 19+y, the main sources of dietary fiber were vegetables (22.6%), other foods (14.3%), grain mixtures (12.0%) and fruits (11.1%). Major WG sources for children/adolescents included ready-to-eat cereals (RTEC) (31%), yeast breads/rolls (21%) and crackers and salty grain snacks (21%). The main sources of WG for adults 19+ were yeast breads/rolls (27%), RTEC (23%) and pastas/cooked cereals/rice (21%). Recommending cereals, breads and grain mixtures with higher contents of both dietary fiber and WG, along with consumer education, could increase intakes among the United States (U.S.) population.

Figures

Figure 1
Figure 1
(a) Pattern of fiber and whole grain intakes by eating occasion for ages 4–18 years; (b) pattern of fiber and whole grain intakes by eating occasion for ages 19–50 years; (c) pattern of fiber and whole grain intakes by eating occasion for ages 51+ years.

References

    1. United States Department of Agriculture. United States Department of Health and Human Services . Dietary Guidelines for Americans, 2010. 7th ed. U.S. Government Printing Office; Washington, DC, USA: 2010. [(accessed on 2 July 2014)]. Available online: .
    1. United States Department of Agriculture. Agricultural Research Service What We Eat in America: Dietary Fiber (g): Usual Intakes From Food and Water, 2003–2006, Compared to Adequate Intakes. National Health and Nutrition Examination Survey (NHANES) 2003–2006. [(accessed on 2 July 2014)]; Available online: .
    1. Food and Nutrition Board, Institute of Medicine . Dietary Reference Intakes for Energy, Carbohydrates, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. National Academies Press; Washington, DC, USA: 2005. Dietary, Functional and Total Fiber; pp. 329–421.
    1. Reicks M., Jonnalagadda S., Albertson A.M., Joshi N. Total dietary fiber intakes in the US population are related to whole grain consumption: Results from the National Health and Nutrition Examination Survey 2009 to 2010. Nut. Res. 2014;34:226–234. doi: 10.1016/j.nutres.2014.01.002.
    1. United States Department of Agriculture. United States Department of Health and Human Services . Nutrition and Your Health: Dietary Guidelines for Americans, 2000. 5th ed. U.S. Government Printing Office; Washington, DC, USA: 2000. [(accessed on 1 July 2014)]. Available online: .
    1. United States Department of Agriculture. United States Department of Health and Human Services . Dietary Guidelines for Americans, 2005. 6th ed. U.S. Government Printing Office; Washington, DC, USA: 2005. [(accessed on 1 July 2014)]. Available online: .
    1. Slavin J. Whole grains and human health. Nutr. Res. Rev. 2004;17:99–110. doi: 10.1079/NRR200374.
    1. Clemens R., Kranz S., Mobley A.R., Nicklas T.A., Raimondi M.P., Rodriguez J.C., Slavin J.L., Warshaw H. Filling America’s fiber intake gap: Summary of a roundtable to probe realistic solutions with a focus on grain-based foods. J. Nutr. 2012;142:1390S–1401S. doi: 10.3945/jn.112.160176.
    1. O’Neil C.E., Zanovec M., Cho S.S., Nicklas T.A. Whole grain and fiber consumption are associated with lower body weight measures in US adults: National Health and Nutrition Examination Survey 1999–2004. Nutr. Res. 2010;30:815–822. doi: 10.1016/j.nutres.2010.10.013.
    1. O’Neil C.E., Nicklas T.A., Zanovec M., Cho S.S. Whole-grain consumption is associated with diet quality and nutrient intake in adults: The National Health and Nutrition Examination Survey, 1999–2004. J. Am. Diet Assoc. 2010;110:1461–1468. doi: 10.1016/j.jada.2010.07.012.
    1. Kaczmarczyk M.M., Miller M.J., Freund G.G. The health benefits of dietary fiber: Beyond the usual suspects of type 2 diabetes mellitus, cardiovascular disease and colon cancer. Metabolism. 2012;61:1058–1066. doi: 10.1016/j.metabol.2012.01.017.
    1. Ye E.Q., Chacko S.A., Chou E.L., Kugizaki M., Liu S. Greater wholegrain intake is associated with lower risk of type 2 diabetes, cardiovascular disease, and weight gain. J. Nutr. 2012;142:1304–1313. doi: 10.3945/jn.111.155325.
    1. Biltoft-Jensen A., Fagt S., Groth M.V., Matthiessen J., Wachmann H.C., Christensen T. The intake of saturated fat and dietary fibre: A possible indicator of diet quality. Br. J. Nutr. 2008;100:624–632. doi: 10.1017/S0007114507904353.
    1. Keast D.R., Fulgoni V.L., III, Nicklas T.A., O’Neil C.E. Food sources of energy and nutrients among children in the United States: National Health and Nutrition Examination Survey 2003–2006. Nutrients. 2013;5:283–301. doi: 10.3390/nu5010283.
    1. O’Neil C.E., Keast D.R., Fulgoni V.L., Nicklas T.A. Food sources of energy and nutrients among adults in the US: NHANES 2003–2006. Nutrients. 2012;4:2097–2120. doi: 10.3390/nu4122097.
    1. Bachman J.L., Reedy J., Subar A.F., Krebs-Smith S.M. Sources of food group intakes among the US population, 2001–2002. J. Am. Diet. Assoc. 2008;108:804–814. doi: 10.1016/j.jada.2008.02.026.
    1. Mancino L., Kuchler F., Leibtag E. Getting consumers to eat more whole-grains. The role of policy, information, and food manufacturers. Food Policy. 2008;33:489–496.
    1. International Food Information Council Food and Health Survey. [(accessed on 1 July 2014)]. Available online: .
    1. Centers for Disease Control and Prevention (CDCP) National Health and Nutrition Examination Survey. [(accessed on 30 June 2014)]; Available online: .
    1. Blanton C.A., Moshfegh A.J., Baer D.J., Kretsch M.J. The USDA Automated Multiple-Pass Method accurately estimates group total energy and nutrient intake. J. Nutr. 2006;136:2594–2599.
    1. Moshfegh A.J., Rhodes D.G., Baer D.J., Murayi T., Clemens J.C., Rumpler W.V., Paul D.R., Sebastian R.S., Kuczynski K.J., Ingwersen L.A., et al. The US Department of Agriculture Automated Multiple-Pass Method reduces bias in the collection of energy intakes. Am. J. Clin. Nutr. 2008;88:324–332.
    1. Centers for Disease Control and Prevention, National Center for Health Statistics [(accessed on 30 June 2014)];National Health and Nutrition Examination Survey (NHANES) NHANES Dietary Interview Component. Available online: .
    1. Bowman S.A., Friday J.E., Moshfegh A. Food Surveys Research Group, Beltsville Human Nutrition Research Center, Agricultural Research Service, U.S. Department of Agriculture; Beltsville, MD, USA: 2008. [(accessed on 30 June 2014)]. MyPyramid Equivalents Database, 2.0 for USDA Survey Foods, 2003–2004. Available online: .
    1. Grooms K.N., Ommerborn M.J., Pham D.Q., Djoussé L., Clark C.R. Dietary fiber intake and cardiometabolic risks among US adults, NHANES 1999–2010. Am. J. Med. 2013;126:1059–1067. doi: 10.1016/j.amjmed.2013.07.023.
    1. King D.E., Mainous A.G., 3rd, Lambourne C.A. Trends in dietary fiber intake in the United States, 1999–2008. J. Acad. Nutr. Diet. 2012;112:642–648. doi: 10.1016/j.jand.2012.01.019.
    1. Mintel Global New Products Database. [(accessed on 2 July 2014)]. Available online: .
    1. Kerver J.M., Yang E.J., Obayashi S., Bianchi L., Song W.O. Meal and snack patterns are associated with dietary intake of energy and nutrients in US adults. J. Am. Diet. Assoc. 2006;106:46–53. doi: 10.1016/j.jada.2005.09.045.
    1. Hornick B., Dolven C., Liska D. The fiber deficit, part II: Consumer misperceptions about whole grains and fiber: A call for improving whole-grain labeling and education. Nutr. Today. 2012;47:104–109. doi: 10.1097/NT.0b013e31825744cf.
    1. Mobley A.R., Slavin J.L., Hornick B.A. The future of recommendations on grain foods in dietary guidance. J. Nutr. 2013;143:1527S–1532S. doi: 10.3945/jn.113.175737.
    1. Williams D.L., Felt-Gunderson P. Analysis of average daily fiber intake among ready-to-eat cereal consumers: Role of wholegrain cereals in closing the fiber gap. Am. J. Lifestyle Med. 2013;7:278–283. doi: 10.1177/1559827613479913.

Source: PubMed

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